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RGPs of Ontario Network Webinar

Ontario’s Dementia Strategy: An Update June 27 2017, 12-1pm

Michael Robertson Director, Capacity Planning and Priorities Branch Strategic Policy and Planning Division Ontario Ministry of Health and Long Term Care

Ontario’s Dementia Strategy – An Update

June 27, 2017

Overview

The purpose of this presentation is to provide an overview of :

1. Government commitment

2. Vision for a coordinated health care system for people living

with dementia

3. Ontario’s work-to-date on the dementia strategy

4. Five pillars of the dementia strategy

5. Dementia strategy key investments

6. Next steps

7. Discussion questions

4

Government Commitment

5

• Patients First: Action Plan for Health Care was launched in 2015 with a vision for

health care system transformation that includes improved access and a commitment

to improve dementia supports.

• Improving dementia supports through the development of a dementia strategy was

also highlighted as a priority in Minister Hoskins’ 2014 and 2016 mandate letters.

• Government committed over $100 million over three years for the Dementia Strategy

in the 2017 Ontario budget.

• An echo announcement was made by Minister Hoskins on May 4, 2017, further

outlining investments to be made as part of the Dementia Strategy.

Vision and Approach

The vision for this strategy is to ensure people with dementia, their families and care

partners:

• Are treated with respect;

• Have access to information that allows them to make the best possible choices

regarding their health and well-being;

• Are living well with dementia, helped by appropriate services and supports

where and when they need them

The approach to address increasing prevalence of dementia and resultant pressures

on the health system is to:

• Divert people living with dementia away from ALC and long-term care and keep

them in the community for as long as possible with better supports and

programming.

• Reinforce key areas of our health care system with best practice supports and

better training and education.

6

7

Eight Round Tables

(Fall 2015)

Five Working Groups

(

Discussion Paper

(September 2016)

Online Survey

(November 2016)

Six Town Halls

(Fall 2016)

Budget Announce

ment (Spring 2017)

Dementia Strategy Roll Out

(Fall 2017)

Community Conversations

(Fall 2016)

Budget Announcement

(Spring 2017)

WORK TO DATE Timeline Of Engagement

• The Ontario Ministry of Health and Long-Term Care (the Ministry) started the engagement process for the Dementia Strategy in July 2015.

• The Ministry worked closely with stakeholders such as the Alzheimer Society of Ontario, who emphasized the need for a long and

comprehensive engagement period.

• Over 5,500 people across the province have given input.

• Steps were taken to ensure diversity in engagement – Francophone, ethno-cultural communities, LGBTQ and Indigenous as examples.

Budget Announcement

• 2017 Budget (April 27): commitment to invest more than $100M over three years towards the province’s dementia strategy.

• Announcement (May 4): Ontario will build on existing services to better support people living with dementia and those who care for them.

• Improving access to high-quality care

• Ensuring greater equity & flexibility in care

• Establishing better coordinated & integrated care

Five Working Groups

(Winter 2016)

Ontario’s Dementia Strategy: An Overview P

illa

rs

Supports for

People with

Dementia

Accessible

supports and

services that

meet the diverse

needs of people

with dementia.

Supports

for Care

Partners

Flexible supports

and respite

services that

respond to the

needs of care

partners.

Dementia

Workforce

Knowledgeable

and well-trained

dementia

workforce.

General

Public

Raising dementia

awareness and

promoting brain

health.

Research &

Innovation

Sharing best

practices and

encouraging

evidence-based

service delivery.

Ke

y I

nit

iati

ve

s

• Improve patient

navigation

• Increase

access to

dementia day

programs,

including

transportation

• Enhance

behavioural

supports (e.g.

BSO in the

community)

• Enhance

respite

supports,

including in-

home and

overnight

respite

• Increase

access to

education and

training

opportunities

• Enhance

dementia

education and

training for

front-line staff

(e.g. PSWs)

• Explore

opportunities to

enhance

training for

medical

residents and

physicians

• Promote brain

health,

increase

awareness

about dementia

and reduce

stigma through

targeted public

awareness

campaigns

• Increase

understanding

of dementia

population

and needs

• Evaluate

existing or

innovative

solutions and

share best

practices

8

$101 million over 3 years for Ontario’s new Dementia Strategy

DEMENTIA STRATEGY KEY INVESTMENTS IN

ITA

TIV

E

OU

TC

OM

E

Caregiver

Respite

Enhance

flexible respite

services for

care partners

of people with

dementia.

Improved

access to

respite

supports,

including in-

home and

overnight, to

reduce care

partner

burnout.

Behavioural

Supports at

Home and in

Community

Expand

Behavioural

Supports

Ontario

program in

home and

community.

Enhancing

supports in

home and

community to

help care

partners

manage

complex

behavioural

health needs.

Patient

Navigation

Expand

access to

integrated and

coordinated

dementia care

in the

community.

Additional care

coordination

support for

newly-

diagnosed

people and

their care

partners.

Dementia

Workforce

Training and

Education

More

dementia-

specific training

hours and

supports for

front-line and

primary care

practitioners.

Giving front-

line health

care providers

more tools and

supports to

better manage

dementia.

Dementia

Campaign

Expand

Dementia

awareness

campaigns.

Targeted

campaigns to

key

populations to

educate the

public and

reduce stigma

around

dementia.

Continued

investments

in physician

education in

geriatric care

Explore additional

geriatric medicine

and geriatric

psychiatry

residencies in

partnership with

the medical

schools.

Enhanced

capacity for

specialists to

support the

entire health

workforce to

respond to the

needs of our

aging

population

Dementia

Day &

Evening

Programs

Expand

province-wide

access to

dementia

specific

programs.

More dementia

day/evening

programs,

including

transportation

to and from

programs for

patients and

care partners.

Behavioural

Supports in

Long-Term

Care Homes

Expand

Behavioural

Supports

Ontario

program in

long-term care

homes.

Expand

Behavioural

Supports

across all

Long-Term

Care Homes.

Care Partner

Education

and Training

Enhance

education and

training

available to

care partners.

In-person and

online

educational

resources for

care partners

so people

have the right

skills to

provide care

for loved ones.

Primary Care

Collaboratives/

Memory

Clinics

Build on

innovative

models to

increase

access to

specialised

care.

Explore

expansion of

innovative

models to

improve patient

diagnosis and

appropriate

management.

10

ALIGNED DIAGNOSIS AND REFERRAL THROUGHOUT THE HEALTH CARE SYSTEM

Residential • BSO in LTC

• Congregate Living

Specialist Care • Specialist-led Memory

Clinics

• Day Hospital

• Interdisciplinary Response

Primary Care Collaborative

Memory Clinics (with consideration to alignment with sub-LHIN regions)

• Primary care collaborative memory clinics also ensure access

to interdisciplinary teams including allied health professionals

In-Community Supports Person with Dementia

and Care Partners

Primary Care Providers • Primary care providers have access to specialists via e-consult or telephone consult

and better training for diagnosis and management of dementia

• Home Care

• Short Stay Respite

• CCAC

• Patient navigators

• Adult Day Programs

• Dementia Home Care

Legend

Referral Pathway

New or enhanced

investments

This diagram shows desired

alignments within the health

system. It is guided by Patient’s

First: Action Plan for Health Care

and links various MOHLTC

initiatives including, primary care

reform, Local Health System

Integration Act, home and

community care, levels of care

framework and the Dementia

Strategy.

Outcomes:

Fewer visits to emergency

departments

Shorter wait times for specialists

Reduced ALC pressures

Quality care in the most appropriate

setting

Earlier detection and diagnosis

Shortened length of stay in LTC

home

Interdisciplinary care teams

Next Steps

• Ministry staff are drafting an implementation plan

for government approval.

• It is anticipated that a public facing document will

be released later in 2017.

11

Discussion

• How can the ministry and RGPs work together to

build capacity among primary care practitioners?

• What role do you see RGPs having in supporting

front line staff (such as PSWs) in having the skills

and knowledge to provide consistent and high quality

dementia care?

12

Thank you for attending this webinar!

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Please make note of our upcoming webinars – details and registration links will be emailed to you shortly:

If you have additional questions, contact ken.wong@sunnybrook.ca

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